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Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums

Author

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  • Nai-Ying Ko

    (Departments of Nursing, College of Medicine, National Cheng Kung University and Hospital, Tainan 70101, Taiwan
    Center of Infection Control, National Cheng Kung University Hospital, Tainan 70101, Taiwan
    N.-Y.K. and I.-H.L. contributed equally to this study.)

  • I-Hsuan Lin

    (Department of Psychiatry, Yuan’s General Hospital, Kaohsiung 80249, Taiwan
    Department of Health Business Administration, Meiho University, Pingtung 91202, Taiwan
    N.-Y.K. and I.-H.L. contributed equally to this study.)

  • Yu-Te Huang

    (Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China)

  • Mu-Hong Chen

    (Department of Psychiatry, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    Division of Psychiatry, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Wei-Hsin Lu

    (Department of Psychiatry, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 60002, Taiwan
    Department of Senior Citizen Service Management, Chia Nan University of Pharmacy and Science, Tainan 71710, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan)

Abstract

This study examined the associations of perceived socially unfavorable attitudes toward homosexuality and same-sex marriage with suicidal ideation in non-heterosexual and heterosexual participants from first (Wave 1, 23 months prior to same-sex marriage referendums) and second (Wave 2, one week after the referendums) wave surveys in Taiwan. Data provided by 3239 participants in Wave 1 and 1337 participants in Wave 2 who were recruited through a Facebook advertisement were analyzed. Participants completed an online questionnaire assessing suicidal ideation and perceived unfavorable attitudes toward homosexuality and same-sex marriage from Taiwanese society, heterosexual friends, and family members. The results indicate that perceived unfavorable attitudes toward homosexuality from Taiwanese society, heterosexual friends, and family members were positively associated with suicidal ideation among non-heterosexual individuals in the first but not the second survey. In addition, among non-heterosexual individuals, such attitudes toward same-sex marriage in family members and in heterosexual friends were positively associated with suicidal ideation in the Wave 1 and Wave 2 surveys, respectively. Perceived unfavorable attitudes toward homosexuality and same-sex marriage in heterosexual friends were associated with suicidal ideation in heterosexual participants with a favorable attitude but not in those individuals with an unfavorable attitude toward homosexuality, in both surveys. Perceived socially unfavorable attitudes toward homosexuality and same-sex marriage were significantly associated with suicidal ideation before and after same-sex marriage referendums; however, the associations varied between non-heterosexual and heterosexual individuals.

Suggested Citation

  • Nai-Ying Ko & I-Hsuan Lin & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2020. "Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:1047-:d:317581
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    References listed on IDEAS

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    3. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    4. Huang-Chi Lin & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Relationships of Homophobic Bullying Victimization during Childhood with Borderline Personality Disorder Symptoms in Early Adulthood among Gay and Bisexual Men: Mediating Effect of Depressive Symptoms," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    5. Huang-Chi Lin & Chih-Cheng Chang & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Associations among Perceived Sexual Stigma from Family and Peers, Internalized Homonegativity, Loneliness, Depression, and Anxiety among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    6. Luis Miguel Dos Santos, 2021. "Promoting Sexual Health Knowledge through a Social Workers’ Mentorship Programme: A Study of Gay Young Adults," IJERPH, MDPI, vol. 18(11), pages 1-18, May.
    7. Chung-Ying Lin & Ching-Shu Tsai & Chia-Wei Fan & Mark D. Griffiths & Chih-Cheng Chang & Cheng-Fang Yen & Amir H. Pakpour, 2022. "Psychometric Evaluation of Three Versions of the UCLA Loneliness Scale (Full, Eight-Item, and Three-Item Versions) among Sexual Minority Men in Taiwan," IJERPH, MDPI, vol. 19(13), pages 1-13, July.
    8. Jennifer R. Pharr & Lung-Chang Chien & Maxim Gakh & Jason D. Flatt & Krystal Kittle & Emylia Terry, 2022. "Moderating Effect of Community and Individual Resilience on Structural Stigma and Suicidal Ideation among Sexual and Gender Minority Adults in the United States," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    9. Cheng-Fang Yen & Yu-Te Huang & Marc N. Potenza & Tzu-Tung Tsai & Chung-Ying Lin & Hector W. H. Tsang, 2021. "Measure of Internalized Sexual Stigma for Lesbians and Gay Men (MISS-LG) in Taiwan: Psychometric Evidence from Rasch and Confirmatory Factor Analysis," IJERPH, MDPI, vol. 18(24), pages 1-11, December.
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